| NPI | 1194791822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WHALEN Director Of Operations 248-650-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2015-05-08 |